30656 7577 -riki I .
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION ILDING PERMIT s03
Date------T�Z ----- 19..` Pe mi No...�..---S�L---------------
Application is hereby made for a permif +o.... .
a------- -7--------storY, Type--- ----------------------Y. .-: . ...-----. -----------------------. ---------....Building
at--------.1--5/-1................0-.... - - -- ... . .. ---- ....:..e
------...---.... ---------
+o be occupied only as.......... .. .e fF'-....1 .. •-�...--...-
PI
in accordance with, Plans, pecificafions ZPlot-"a il�
Estimated Value of Improvements, $..� o' '..s ....
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any nner so as tbecome bt tthew rkmen's com/pensa>tiioonn laws a -aliforrnia.
Owner.--- f4-...Address_f:.i/v 1...�/Vg.f
-
.b Address--.....---------- -----_------------------------
W_ —.0 -
By.. - � .. -. f.... 1
Contractor, Agent
Form 180.1
7577 Erinu�,`// .t�9
,_ � Loma Verde
RECORD OF INSPECTION
Foundation....
. . .--.---------------Fr rn .....7—---------3......v..-"
...............
Stucco--------- ...
-- ------------Finish....
7 71 Z/pf yy
33775